Individual ProviderThomas SandersPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address97 Main St, Stony Brook, NY 11790-1937(631) 751-6680PECOS EnrollmentBased on the most recent information from CMS, provider Thomas Sanders does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1942661475Provider TypeIndividualFull NameSanders, ThomasGenderMaleSole ProprietorNoEnumeration Date3/10/2016Last Updated3/11/2016Contact InformationPractice LocationPractice Address97 Main St, Stony Brook, NY 11790-1937Phone(631) 751-6680FaxUnlisted FaxMailing LocationMailing Address26 Arbor Ridge Ln, South Setauket, NY 11720-1405PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense039672-1New York